Organization Active NPI

Mericare Health and Wellness

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1407625635
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERICARE HEALTH AND WELLNESS
Practice address
1050 E 215TH St
Bronx, NY 10469-1307
Phone
(646) 671-2807
NPI assigned
Dec 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Cho, MD
Title
Medical Director
Phone
(202) 725-3281

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

1050 E 215TH St
Bronx, NY 10469-1307

Mailing address

1800 H St NE
Washington, DC 20002-4018
Phone (646) 671-2807

Other practice location 1

1412 Crain Hwy N Ste 7B
Glen Burnie, MD 21061-9306
Phone (646) 671-2807

Other practice location 2

1800 H St NE
Washington, DC 20002-4018
Phone (646) 671-2807

National Provider Directory

National Provider Directory

Locations

1412 Crain Hwy N
Ste 7B
Glen Burnie, MD 21061
Phone (646) 671-2807

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1407625635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 H ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024018",
            "telephone_number": "646-671-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E 215TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691307",
            "telephone_number": "646-671-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Crain Hwy N Ste 7B",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210619306",
            "country_code": "US",
            "telephone_number": "646-671-2807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 H St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200024018",
            "country_code": "US",
            "telephone_number": "646-671-2807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERICARE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-725-3281",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.